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What is the main purpose of ATI’s Skills Module for mobility?
To provide comprehensive information about assisting clients with ambulation, proper use of assistive devices, and transferring techniques.
Why is proper body mechanics important for nurses when assisting clients' mobility?
It helps prevent injuries to both nurses and clients during lifting and transferring procedures.
What are assistive devices mentioned in the notes?
Cane, crutch, walker, or mechanical lifting device.
What is a critical first step before applying antiembolic stockings?
Measure the client’s calf circumference and leg length from heel to knee.
What is the rationale for using the unaffected side when preparing a client to sit?
It helps the client maintain stability during transfers and reduces risk of falls.
Describe correct technique for transferring a client with left-sided weakness.
Align the nurse’s knees with the client’s knees just before transfer.
What should a nurse do if a client begins to fall while ambulating?
Extend one leg and allow the client to slide down the leg to the floor.
During the application of SCDs (sequential compression devices) why is proper fitting essential?
To ensure they provide adequate compression and do not impair circulation.
What are the key strategies for preventing injury in clients who are at risk for falls?
Assess the client's mobility, use assistive devices, and maintain proper body mechanics.
Explain the concept of 'gait belt'.
A wide piece of canvas around the client’s waist, used for stability and support during ambulation.
What is the purpose of using a transfer board?
To reduce friction while moving a client from one surface to another.
What are the components of a mechanical lift?
Wheeled base, overhead bar, sling suspension system, and a sling for support.
What is the key outcome of implementing early ambulation post-surgery?
It prevents complications such as decreased muscle strength and deep vein thrombosis.
When assisting a client out of bed, what preliminary assessments should be made?
Assess weight-bearing capability, upper extremity strength, and level of cooperation.
What position can be used for clients experiencing difficulty breathing while lying down?
Orthopneic position.
What is the correct technique for hyperextension of the hip in active range-of-motion exercises?
Move the leg behind the body.
Why should elastic stockings be hand washed?
To maintain elasticity and prolong their use.
What is passive range-of-motion (ROM) exercise?
An exercise performed by a nurse or therapist to move a client’s joints without client participation.
What are the signs that indicate a client may be experiencing discomfort during range-of-motion exercises?
Report of pain or discomfort by the client.
What does the term 'transfer sheet' refer to?
A heavy half sheet used to reposition the client in bed.
What should be done if the client cannot assist during a transfer?
Use a mechanical lift to safely transfer the client.
How can pressure ulcers be prevented during client mobility?
Reposition clients at least every 2 hours and maintain proper body alignment.
What is the purpose of continuous passive motion (CPM) machines?
To restore range-of-motion in joints, commonly after knee surgery.
Why is it important to secure clients properly in a CPM (continuous passive motion) machine?
To prevent skin irritation and ensure the joint is properly positioned.
What is the correct positioning strategy in Fowler's position?
The head of the bed is elevated 45 degrees with pillows under the back and extremities.
What should you do if a client becomes dizzy during ambulation?
Ease them gently to the floor using your leg for support.
What is the role of a nurse in delegating transferring tasks to an AP?
Ensure they understand the procedure and the client's capabilities.
What should be assessed before teaching a client crutch gaits?
The client’s disease, abilities, mobility needs and specific orders.
What are the four types of crutch gaits?
Four-point gait, three-point gait, two-point gait, and swing-to gait.
Explain the importance of maintaining a wide base of support during client transfers.
It provides stability and helps prevent back injuries during strenuous activities.
What are the benefits of ambulation for clients?
Improves muscle tone, strength, joint flexibility, and stimulates bodily functions.